Judy D Mamaclay in Mystic - Geriatric Medicine
Judy D Mamaclay - NPI 1457357618
Judy D Mamaclay is a Geriatric Medicine in Mystic, Connecticut. Judy D Mamaclay practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Judy D Mamaclay is 1457357618. The last update date is 2021-12-15.
Judy D Mamaclay's current location address is 3 Heron Rd, Mystic, Connecticut. You can contact this provider via phone number 8605366442 and fax number 8605366442. The mailing address for Judy D Mamaclay is 3 Heron Rd, Mystic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy D Mamaclay |
|---|---|
| Address | 3 Heron Rd, Mystic, Connecticut |
| Phone Number | 8605366442 |
| Fax Number | 8605366442 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457357618 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2021-12-15 |
Provider Mailing Address Detail
| Address | 3 Heron Rd |
|---|---|
| City | Mystic |
| State | Connecticut (CT) |
| Post Code | 63553253 |
| Phone Number | 8605366442 |
| Fax Number | 8605366442 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 40859 |
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Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1408592 | CT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Judy D Mamaclay by the Centers for Medicare & Medicaid Services?
The Judy D Mamaclay has been assigned the NPI (National Provider Identifier) 1457357618. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Judy D Mamaclay?
The Judy D Mamaclay is physically situated at 3 Heron Rd, in the city of Mystic, state of CT, with the postal code 63553253.
What is Judy D Mamaclay's area of expertise and its corresponding taxonomy classification?
The Judy D Mamaclay's field of specialization is Geriatric Medicine, and it falls under the taxonomy code 207Rg0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Judy D Mamaclay receive the assignment of its 1457357618 from the Centers for Medicare & Medicaid Services?
The Judy D Mamaclay was issued its 1457357618 by the Centers for Medicare & Medicaid Services on 2005-06-22.
When was the information regarding Judy D Mamaclay, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Judy D Mamaclay, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-15.